Flashcard 12 Neuro
Wernicke Encephalopathy
MEDICAL EMERGENCY
causing life-threatening brain disruption, confusion, staggering etc.
followed by Korsakoff syndrome
what happens retinal detachment
outermost 10th layer detaches from inner 9 layers of retina (sometimes due to changes in vitreous humour)
management of orbital cellulitis
- admit
- pus drainage
- IV antibiotics
describe a pseudoseizure
great stress/ psychological issues
normally recall what was happening around them rather than to them during seizure
no organic cause
front tongue bite
syncope/ faint
weakest point of skull
pterion
most common cause of subarachnoid haemorrhage
burst berry aneurysm
patient can’t interpret sounds/ sights
agnosia
agnosia
patient can’t interpret sounds/ sights
communicating hydrocephalus presentation
- cranial sutures fused - increased ICP symptoms
2. Cranial sutures not fused - disproportional increase in head circumference, failure to thrive
how is a traumatic basal SAH caused
forceful impact on upper side of neck causing rapid rotation leading to rupture of vertebro-basilar circulation
diffuse axonal injury
serious rotational forces applied to brain tissue causing shearing of axons
describe a cluster headache
- very severe pain around eye one sided
- associated nausea
- 1-3 months on/ 1 month off
- striking circadian rhythm
best treatment giant cell arteritis
IV cortisone
function carbamazepine
anti-convulsant
e.g.
tonic clonic seizures
trigeminal neuralgia
bipolar disorder